DANA AGENBROAD (NPI# 1578985461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578985461 |
| Entity Type | Individual |
| Full Name | DANA AGENBROAD |
| Practice Address |
1333 N 1st St Springfield OR 97477-3002 |
| Mailing Address |
1358 32nd St Springfield OR 97478-5523 |
| Practice Telephone | 5417362728 |
| Mailing Telephone | 5417360035 |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 1048112 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1333 N 1ST ST |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649691098 | Kristin Seybold | Specialist | 1333 N 1st St, Springfield, OR 97477-3002 | 2014-01-01 |
| 1871103077 | Kelsey N Cournyer | Physical Therapy Assistant | 1333 N 1st St, Springfield, OR 97477-3002 | 2020-08-03 |
| 1194298604 | Emily Mills | Physical Therapy Assistant | 1333 N 1st St, Springfield, OR 97477-3002 | 2019-01-08 |
| 1710468327 | Laura A Wobbe | Physical Therapy Assistant | 1333 N 1st St, Springfield, OR 97477-3002 | 2018-08-22 |
| 1790157436 | Angela M Pence | Occupational Therapy Assistant | 1333 N 1st St, Springfield, OR 97477 | 2015-10-21 |
| 1871983775 | Dominique Anne Lefievre | Physical Therapy Assistant | 1333 N 1st St, Springfield, OR 97477-3002 | 2015-01-29 |
| 1194148999 | Raymond Kater | Physical Therapy Assistant | 1333 N 1st St, Springfield, OR 97477-3002 | 2014-01-29 |
| 1770905044 | Wendy Lee Connelly | Speech-Language Pathologist | 1333 N 1st St, Springfield, OR 97477-3002 | 2014-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651894 | Laverne Reese | Occupational Therapy Assistant | 150 S Durkin Dr Apt, Springfield, IL 62704-1151 | 2020-08-25 |
| 1942838180 | Jennifer Cooper | Occupational Therapy Assistant | 228 Stutely Ln, Springfield, IL 62704-5234 | 2020-04-01 |
| 1225670441 | Britt D Leonard | Occupational Therapy Assistant | 3130 Chatham Rd, Springfield, IL 62704-5369 | 2019-10-09 |
| 1871148965 | Austin Chhut | Occupational Therapy Assistant | Intelligent Therapy Staffing, 3131 Tom Austin Hwy, Springfield, TN 37172 | 2019-08-06 |
| 1033670401 | Daniel E Cartwright | Occupational Therapy Assistant | 2272 E Keys Ave, Springfield, IL 62702-4343 | 2019-03-28 |
| 1215491303 | Kathryn Ann Waggoner | Occupational Therapy Assistant | 1024 N Bond St, Springfield, IL 62702-3729 | 2019-01-23 |
| 1386114635 | Kristina Marie Williams | Occupational Therapy Assistant | 120 Omega Ave, Springfield, OH 45504-3647 | 2018-11-29 |
| 1881164143 | Marlee Ann Mcneil | Occupational Therapy Assistant | 5920 Ridgewood Rd W, Springfield, OH 45502-8302 | 2018-11-29 |
| 1083154868 | Alexandria Mattingly | Occupational Therapy Assistant | 136 Croake Station Rd, Springfield, KY 40069-7335 | 2017-02-28 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.